Individual
JENNY L VITTITOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 WEST MAIN STREET, GAYLORD, MI 49734
(989) 732-6448
Mailing address
2480 W BRANCH DR, WEST BRANCH, MI 48661-9278
(989) 312-2902
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
11/27/2023
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